Your First Week With CPAP

It is very overwhelming when you are introduced to your CPAP.  You have a test that you took either at home or in the lab where you feel like you did not sleep, you then are told you stop breathing at night and you need to wear this machine.  So, let’s break this down into smaller pieces so YOU start to feel comfortable with your machine.

Step 1: Your Sleep Test

Let’s start with your sleep test.  Whether it is a home test or an in-lab test there are two things you should know so you know that it is accurate.  One is that a person who is certified in sleep as a technologist has gone through the whole study and eliminated any parts that look like they are questionable. 

They are also looking at how long your apneas (the time you stop breathing completely) and hypopneas (the time you breathe so shallow your oxygen levels drop significantly) and mark them for the doctor to evaluate. 

You then have a board-certified doctor who specializes in sleep review the results of the study. The doctor determines how severe your sleep issue is and what your best treatment options are.

Step 2: Your CPAP Mask

Once a machine is determined for you and the doctor has selected the proper setting you will receive the machine.  You have a significant say in what mask you will use with the machine. A mask that works for a family member or friend may not work for you.  There are positives and negatives to each type of mask so do not make this decision lightly.

Types of CPAP Masks

Nasal masks are the most popular as they are small and have minimal contact with your face.  The drawback is that if you open your mouth that air will rush out of it and for some people that is very uncomfortable.

Nasal pillows are the smallest mask and have two small tubes that seal on your nostrils.  But this type of mask can make the pressure of the air feel stronger and some people have issues with the contact with their nose and with the mask moving around.

Full face mask is the least popular, but they do have the benefit that you can breathe through both your mouth and your nose.  They do tend to leak more, and they have the most contact with your face. I have found that people with claustrophobia do best with these because of the ability to breathe through your mouth and your nose.  

Step 3: Get Adjusted

Ten PM at night comes and you go to bed with the machine and one of the biggest issues is you cannot fall asleep.  You have this thing on your face and air blowing and nothing to distract you except maybe you dog who keeps growling at the machine.  This is more common than you think and if this occurs I would recommend you take the desensitization approach to using your PAP.

The desensitization approach looks something like this.  Day one you put the PAP in the living room next to your favorite chair.  You turn on your favorite show (not the news or anything that will make you angry) and wear it for 20 minutes.  You can do anything for 20 minutes. What you want is to be distracted by the tv while you are wearing the mask.  Each day after you will increase by at least 10 minutes until you can wear your PAP comfortably for 2 hours.  

Now it is time to return to the bedroom and start wearing your PAP at night.  

If you continue to have difficulty it may be time to look for assistance in learning some relaxation techniques or talking to your doctor for other suggestions or for a change of mask.  

The book Make CPAP Your Friend has more ideas and information on how to get the most out of your CPAP machine and make it a part of your total health plan.

About the Author

My name is Amy Korn-Reavis. I’m a clinical sleep educator who has been working with individuals, students and physicians for over 30 years. Some have called me the “Better Sleep Coach”. Others have called me a total “Sleep Geek”. I am not ashamed! I am happiest when I get to speak with someone I’ve helped and found out how well they are sleeping and how much their health and life has changed for the better.